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International Journal of Emergency Medicine
Published in: International Journal of Emergency Medicine 4/2010

Open Access 01-12-2010 | Clinical Images

Tracheoesophageal fistula

Authors: Joye Varghese, Vallath Balakrishnan, Venkadeswaran Narayanan

Published in: International Journal of Emergency Medicine | Issue 4/2010

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Excerpt

A 26-year-old lady was referred for evaluation of dysphagia. The patient had consumed 50 ml of organophosphorus (OP) components of liquid pesticide 4 months ago and was on ventilatory support with a tracheostomy tube because of OP-poisoning-induced respiratory failure. Treatment included injection of atropine, pralidoxime and other supportive care, and the patient recovered. The patient developed dysphagia after extubation of the tracheostomy tube, and a percutaneous endoscopic gastrostomy (PEG) feeding tube was placed to support her nutritional status. Clinically, there was no neurological deficit. Figure 1 shows the esophagogastroduodenoscopy (OGD). What is the diagnosis? …
Literature
1.
Balali-Mood M, Kia Balali-mood (2008) Neurotoxic disorders of organophosphorus compounds and their managements. Arch Iranian Med 11(1):65–89
2.
Gerzic Z, Rakic S, Randjelovic T (1990) Acquired benign esophagorespiratory fistula: report of 16 consecutive cases. Ann Thorac Surg 50:724–727PubMedCrossRef
3.
Reed MF, Mathisen DJ (2003) Tracheoesophageal fistula. Chest Surg Clin North Am 13(2):271–289CrossRef
Metadata
Title
Tracheoesophageal fistula
Authors
Joye Varghese
Vallath Balakrishnan
Venkadeswaran Narayanan
Publication date
01-12-2010
Publisher
Springer Berlin Heidelberg
Published in
International Journal of Emergency Medicine / Issue 4/2010
Print ISSN: 1865-1372
Electronic ISSN: 1865-1380
DOI
https://doi.org/10.1007/s12245-010-0161-4

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